Fatal arterial hemorrhage after pancreaticoduodenectomy: How do we simultaneously accomplish complete hemostasis and hepatic arterial flow?

Figure 4 Liver infarction and abscess after transcatheter arterial embolization. Actual findings in patient 13 and patient 14 are shown. A: Patient 13, the bleeding sites were detected; B: Patient 13, complete hemostasis was obtained by transcatheter arterial embolization, but the hepatopetal arterial flow was completely lost (dotted orange arrows); C: Patient 13, the patient subsequently developed liver infarction due to hepatic ischemia (dotted yellow circles); D: Patient 14, the bleeding sites were detected; E: Patient 14, complete hemostasis was obtained by TAE, but the hepatopetal arterial flow was completely lost (dotted orange arrows); F: Patient 14, the patient subsequently developed liver infarction due to hepatic ischemia (dotted yellow circles) and a liver abscess due to biliary ischemia (dotted orange circle).